| NPI | 1437132479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-12703) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036081072) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2015-06-09 |